Butterfly Princess 2022

Princess Name *

First Name Last Name

Princes Age by 8/13/2022 *

Birth Date *

Date

Princess School and Grade School Year 2022

Princess Height (for production line)

Princess Shirt Size

Youth XS (5) Youth S (6-8) Youth Medium (10-12) Youth Large (14-16) Youth Extra Large (18-20) Adult Small

What does your Princess want to be when she grows up?

Ask your Princess why we should Volunteer? (Enter Her Answer)

Princess Fun Fact (announced on stage)

Parent/Guardian Name *

First Name Last Name

Second Parent/Guardian Name

First Name Last Name

Email *

example@example.com

Phone Number *

Please enter a valid phone number.

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Signature *

Clear

Registration Fee and Optionals *

Butterfly Princess Pageant Registration (includes entry to Butterfly Princess Pageant, Crown & Sash, Commemorative T-shirt, Crowning Ceremony, Ice Cream Party, Princess Parade on the main stage, and 1 ticket to Miss Virginia Volunteer pageant finals)

$ 100.00

Butterfly Princess Pageant Registration for Additional Child A $20 discount is given for additional princesses of the same household. Please DO NOT select this option together with the standard registration fee. A separate registration is required for each princess.

$ 80.00

Optional Photogenic

$ 50.00

Optional Interview

$ 50.00

Optional Talent

$ 50.00

Total

$ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Please verify that you are human *

Miss Virginia Butterfly Princess Pageant 2022 Registration

Princess Information

Parent/Guardian Information

Statements of Understanding

Registration Fees